<fieldset class="layui-elem-field layui-field-title" style="margin-top: 20px;">
    <legend>保险方案</legend>
</fieldset>
<div class="layui-form-item">
    <div class="layui-inline">
        <label class="layui-form-label">投保险种名称</label>
        <div class="layui-input-inline">
            <input type="text" name="number" autocomplete="off" class="layui-input">
        </div>
    </div>
    <div class="layui-inline">
        <label class="layui-form-label">保险标的项目</label>
        <div class="layui-input-inline">
            <input type="text" name="number" autocomplete="off" class="layui-input">
        </div>
    </div>
</div>
<div class="layui-form-item">
    <div class="layui-inline">
        <label class="layui-form-label">单位</label>
        <div class="layui-input-inline">
            <input type="text" name="number" autocomplete="off" class="layui-input">
        </div>
    </div>
    <div class="layui-inline">
        <label class="layui-form-label">单位保险金额</label>
        <div class="layui-input-inline">
            <input type="text" name="number" autocomplete="off" class="layui-input">
        </div>
    </div>
</div>
<div class="layui-form-item">
    <div class="layui-inline">
    <label class="layui-form-label">保险数量</label>
        <div class="layui-input-inline">
            <input type="text" name="number" autocomplete="off" class="layui-input">
        </div>
    </div>
    <div class="layui-inline">
        <label class="layui-form-label">保险金额</label>
        <div class="layui-input-inline">
            <input type="text" name="number" autocomplete="off" class="layui-input">
        </div>
    </div>
</div>
<div class="layui-form-item">
    <div class="layui-inline">
        <label class="layui-form-label">保险费率</label>
        <div class="layui-input-inline">
            <input type="text" name="number" autocomplete="off" class="layui-input">
        </div>
    </div>
    <div class="layui-inline">
        <label class="layui-form-label">保险费</label>
        <div class="layui-input-inline">
            <input type="text" name="number" autocomplete="off" class="layui-input">
        </div>
    </div>
</div>
<div class="layui-form-item">
    <div class="layui-inline">
        <label class="layui-form-label">预计缴费</label>
        <div class="layui-input-inline">
            <input type="text" name="number" autocomplete="off" class="layui-input">
        </div>
    </div>
    <div class="layui-inline">
        <div class="layui-input-inline">
            <input type="radio" name="number" autocomplete="off" class="layui-input">
        </div>
        <div class="layui-input-inline">
            <textarea type="radio" name="number" autocomplete="off" class="layui-input"></textarea>
        </div>
    </div>
</div>
